Average Medicaid Office Visit Payments in Beacon, NY: $97.28
Avg. Paid
$97.28
Range
$0.74 – $178.67
Total Claims
41,985
Providers
16
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Beacon, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Katherine Bishop
6 Henry St |
$105.62 | 10,045 | 4,556 |
|
Leigh Alexandra Rieper
6 Henry St |
$89.49 | 8,359 | 5,087 |
|
Kenneth Desa
6 Henry St |
$89.92 | 7,892 | 4,594 |
|
Tabassum Yasmin Khan
223 Main St |
$132.71 | 6,229 | 4,015 |
|
Kim Marie Dinelle
18 Strack Dr |
$80.89 | 2,663 | 2,643 |
|
Graham Farnham
12 Cross St |
$35.86 | 2,134 | 1,964 |
|
Kaitlin Wilcove
6 Henry St |
$92.41 | 1,591 | 1,116 |
|
Eunice E. Hoolihan
6 Henry St |
$87.72 | 1,229 | 1,154 |
|
Kathleen Marcella Malara
6 Henry St |
$89.42 | 752 | 369 |
|
Grace Carolyn Rice
79 Vail Ave |
$107.02 | 371 | 275 |
|
Douglas Owen Massey
30 Edgewater Pl Apt 304 |
$178.67 | 303 | 169 |
|
Jill Rose Quaglino
192 Main St Apt 1 |
$100.44 | 269 | 258 |
|
Kristine Leena Greco
498 Route 9D |
$19.38 | 90 | 83 |
|
Swapnil Gupta
6 Eliza St |
$13.50 | 28 | 28 |
|
Phiroza S Modi
355 Fishkill Ave |
$0.74 | 17 | 14 |
|
Sagari Murali
26 Hudson View Dr Apt C |
$158.84 | 13 | 13 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Beacon, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Beacon, NY is $97.28 per claim, based on 41,985 claims from 16 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Beacon, NY?
There are 16 Medicaid providers offering Office Visit related services in Beacon, NY according to public payment data.
What is the price range for Office Visit in Beacon, NY?
Medicaid reimbursement for Office Visit in Beacon, NY ranges from $0.74 to $178.67 per claim, with an average of $97.28. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Beacon, NY
Dental Cleaning & Exam
Avg $31.80
54,028 claims
Psychiatric Evaluation
Avg $108.64
22,878 claims
Dental Filling
Avg $81.90
10,265 claims
Physical Therapy
Avg $40.69
8,969 claims
Ambulance Transport
Avg $82.85
8,214 claims
Pregnancy & Prenatal Care
Avg $61.82
4,681 claims
Tooth Extraction
Avg $48.12
3,677 claims
Nursing Facility Care
Avg $6.81
1,790 claims